治疗甲状腺功能减退药物左旋甲状腺素(Synthroid,艾伯维)仍然是全国处方量最大的药物,而抗精神病药物阿立哌唑(Abilify,大冢制药)则继续保持美国销售额最高处方药的桂冠。
这些数据反映了过去12个月期间(年07月至4年06月)美国处方量和销售额前名药物情况。
作为美国处方量最大药物,过去12个月期间,美国开出了万张左旋甲状腺素处方。继左旋甲状腺素钠之后是降胆固醇药物瑞舒伐他汀(Crestor,阿斯利康),大约有万张处方;第三名是质子泵抑制剂埃索美拉唑(Nexium,阿斯利康),约有万张处方;治疗哮喘药物沙丁胺醇(VentolinHFA,葛兰素史克)以万张处方排名第四;而丙酸氟替卡松/沙美特罗吸入剂(AdvairDiskus,葛兰素史克)则以万张处方排名第五。
美国处方量最大药物排名前10的其他5种药物分别为:抗高血压药缬沙坦(代文,诺华);降血糖药甘精胰岛素注射液(来得时,赛诺菲安万特);抗抑郁药度洛西汀(欣百达,礼来);治疗注意力缺陷药物二甲磺酸赖右苯丙胺(Vyvanse,夏尔公司);以及抗癫痫药普瑞巴林(Lyrica,辉瑞)。
作为美国销售额最高的处方药,年07月至4年06月期间,阿立哌唑销售额高达72亿美元。其次是关节炎治疗药物阿达木单抗(Humira,艾伯维),6亿美元;埃索美拉唑(Nexium,阿斯利康),6亿美元;瑞舒伐他汀(Crestor,阿斯利康),56亿美元;以及关节炎治疗药物依那西普(恩利,安进公司),接近51亿美元。
美国销售额最高药物排名前10的其他5种药物分别为:丙酸氟替卡松/沙美特罗吸入剂(AdvairDiskus,葛兰素史克),50亿美元;抗病毒药索菲布韦(Sovaldi,吉利德公司),44亿美元;关节炎治疗药物英利昔单抗(类克,山陶克公司),4亿美元;降血糖药甘精胰岛素注射液(来得时,赛诺菲安万特),8亿美元;以及中性粒细胞减少症治疗药物聚乙二醇非格司亭(Neulasta,安进公司),接近7亿美元。
表1美国月处方量前名药物
排名
药名(商品名)
.7–4.6期间总处方量
1
Synthroid
22,,
2
Crestor
22,,75
Nexium
18,,
4
VentolinHFA
17,,
5
AdvairDiskus
15,00,
6
Diovan
11,,50
7
LantusSolostar
10,,79
8
Cymbalta
10,,
9
Vyvanse
10,,
10
Lyrica
9,,
11
SpirivaHandihaler
9,,
12
Lantus
9,58,
1
Celebrex
8,,91
14
Abilify
8,,
15
Januvia
8,,09
16
Namenda
7,,19
17
Viagra
7,,
18
Cialis
7,,9
19
Zetia
7,,
20
Nasonex
7,04,
21
Suboxone
7,,
22
Symbicort
6,,40
2
Bystolic
6,,
24
FloventHFA
5,62,5
25
Oxycontin
5,,0
26
Levemir
5,,
27
Xarelto
5,,64
28
Nuvaring
5,,
29
Dexilant
4,,
0
Thyroid
4,84,
1
Benicar
4,,
2
VoltarenGel
4,,
ProventilHFA
4,,
4
Tamiflu
4,,85
5
Novolog
4,,10
6
NovologFlexpen
4,,
7
Premarin
,,57
8
Vesicare
,87,
9
Humalog
,,
40
BenicarHCT
,6,
41
Lumigan
,28,
42
Afluria
,,
4
LoLoestrinFe
,,
44
Janumet
,,
45
Ortho-Tri-CyLo28
,05,78
46
Toprol-XL
,,00
47
Pristiq
,02,
48
CombiventRespimat
2,,
49
Vytorin
2,,
50
TravatanZ
2,,58
51
FocalinXR
2,,
52
Pataday
2,,
5
HumalogKwikpen
2,,50
54
Lunesta
2,,
55
Avodart
2,,58
56
Pradaxa
2,,
57
SeroquelXR
2,,10
58
Strattera
2,87,
59
Minastrin24Fe
2,5,
60
Evista
2,22,
61
Chantix
2,,
62
Zostavax
2,,
6
Humira
1,92,
64
Victoza-Pak
1,,
65
Exelon
1,,
66
Exforge
1,88,70
67
Combigan
1,,
68
Dulera
1,,
69
Onglyza
1,,
70
Welchol
1,,
71
PremarinVaginal
1,,
72
Enbrel
1,,
7
XopenexHFA
1,,
74
Ranexa
1,,
75
Truvada
1,52,74
76
AlphaganP
1,50,
77
Viibryd
1,,70
78
Tradjenta
1,44,
79
Effient
1,44,
80
Azor
1,4,
81
Norvir
1,84,06
82
Actonel
1,9,
8
NamendaXR
1,19,96
84
Amitiza
1,09,
85
Aggrenox
1,,
86
Lotemax
1,,
87
Patanol
1,,
88
Levitra
1,27,11
89
AdvairHFA
1,,
90
Uloric
1,,56
91
DetrolLa
1,,
92
AsmanexTwisthaler
1,,
9
Lipitor
1,,76
94
Atripla
1,18,66
95
PremproLowDose
1,,51
96
Latuda
1,12,96
7
NovologFlxpenMix70/0
1,,
98
Invokana
1,,
99
Epiduo
1,10,0
HumulinN
1,,67
表1美国销售额前名药物
排名
药名(商品名)
.7–4.6期间总销售额
1
Abilify
$7,,04,
2
Humira
$6,10,,
Nexium
$6,0,78,
4
Crestor
$5,,,45
5
Enbrel
$5,,26,50
6
AdvairDiskus
$5,,18,
7
Sovaldi
$4,,,
8
Remicade
$4,42,56,59
9
LantusSolostar
$,,94,
10
Neulasta
$,,,42
11
Copaxone
$,,07,
12
Rituxan
$,61,,46
1
SpirivaHandihaler
$,,,46
14
Januvia
$,,,
15
Lantus
$,,,
16
Atripla
$2,,,00
17
Cymbalta
$2,89,,67
18
Avastin
$2,,81,41
19
Lyrica
$2,,06,
20
Oxycontin
$2,,,
21
Celebrex
$2,45,,
22
Epogen
$2,78,,52
2
Truvada
$2,51,,
24
Diovan
$2,,,
25
Levemir
$2,,66,
26
Gleevec
$2,,,
27
Herceptin
$2,02,,44
28
Vyvanse
$1,,1,05
29
Lucentis
$1,92,,07
0
Zetia
$1,90,14,
1
Tecfidera
$1,,,
2
Symbicort
$1,,,
Namenda
$1,,8,
4
NovologFlexpen
$1,,,
5
Xarelto
$1,,,
6
Novolog
$1,,,78
7
Humalog
$1,,,
8
Suboxone
$1,88,,84
9
Tysabri
$1,15,,2
40
Viagra
$1,,29,
41
SeroquelXR
$1,,,22
42
Victoza-Pak
$1,26,62,
4
Cialis
$1,,,
44
Stelara
$1,,29,01
45
Alimta
$1,,,
46
Nasonex
$1,,,
47
Avonex
$1,,,
48
Gilenya
$1,14,,90
49
HumalogKwikpen
$1,,,
50
FloventHFA
$1,,,84
51
Prezista
$1,,,
52
Janumet
$1,,,81
5
Renvela
$1,06,,
54
Isentress
$1,,,
55
Procrit
$1,,,
56
Orencia
$1,,,
57
Dexilant
$1,,,
58
Vesicare
$1,,,
59
Stribild
$,,
60
Olysio
$94,,
61
Synthroid
$,,
62
Neupogen
$,01,
6
AvonexPen
$,,
64
Reyataz
$,,
65
Zytiga
$,60,
66
Xolair
$,75,
67
InvegaSustenna
$,,
68
Benicar
$,,
69
CombiventRespimat
$,,24
70
Pradaxa
$,46,
71
Sensipar
$,28,
72
Xgeva
$,,
7
Vytorin
$,,
74
Betaseron
$,,80
75
Aranesp
$,51,22
76
Prevnar1
$,,
77
Latuda
$80,11,09
78
Afinitor
$,,42
79
Lunesta
$,,
80
VentolinHFA
$,,
81
Complera
$,,
82
Synagis
$,,
8
Bystolic
$76,,
84
Zyvox
$7,,
85
Gardasil
$,,
86
SandostatinLar
$,,78
87
BenicarHCT
$,,57
88
Treanda
$,,
89
Pristiq
$,,
90
Zostavax
$,,28
91
Erbitux
$,82,49
92
Cimzia
$,,
9
Strattera
$,,
94
Cubicin
$,,66
95
Xeloda
$,44,
96
Tarceva
$68,,
7
Evista
$68,,
98
Velcade
$66,,15
99
Sprycel
$65,,99
Abraxane
$64,,